How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $512.86 | Facility | None | $131.83 | $151.36 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $131.83 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $33.11 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $114.82 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,819.70 | Facility | None | $371.54 | $724.44 | $1,819.70 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $45.71 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $45.71 | $141.25 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $1,096.48 | Facility | None | $245.47 | $363.08 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $154.88 | $199.53 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $34.67 | $43.65 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $154.88 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $724.44 | Professional | None | $158.49 | $223.87 | $724.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $177.83 | Professional | 26 · Professional part | $38.90 | $56.23 | $177.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $562.34 | Professional | TC · Technical part | $117.49 | $169.82 | $562.34 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $186.21 | $186.21 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $165.96 | $245.47 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $47.86 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $134.90 | $194.98 | $257.04 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $66.07 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $26.92 | $30.20 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $107.15 | $123.03 | $123.03 |
Where Illinois sits
The same service costs 4.8 times more in Alabama than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 25th of 51
$229
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.